Provider Demographics
NPI:1780660753
Name:POSKANZER, DEBRA SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:SUE
Last Name:POSKANZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ANDREW ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02461-2144
Mailing Address - Country:US
Mailing Address - Phone:617-558-1327
Mailing Address - Fax:978-428-8952
Practice Address - Street 1:2 REHABILITATION WAY
Practice Address - Street 2:HEALTHSOUTH NEW ENGLAND REHABILITATION HOSPITAL
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6003
Practice Address - Country:US
Practice Address - Phone:781-935-5050
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA60002208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3081478Medicaid
MAJ11484Medicare ID - Type Unspecified
MA3081478Medicaid